Individual
TERESA M LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
102 LOCUST DR, SARVER, PA 16055-9255
(724) 295-0118
Mailing address
102 LOCUST DR, SARVER, PA 16055-9255
(724) 295-0118
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
PA000416
PA
Other
Enumeration date
11/13/2011
Last updated
11/13/2011
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